MD-DC-VA MAA Section
Fall 2000 Meeting Registration Form
Print it, fill it out, and mail it with payment to Bonita V. Saunders, National Institute of Standards and Tech., 100 Bureau Drive, Stop 8910, Gaithersburg, MD 20899-8910 to arrive by November 6, 2000. (Use mailing label below)
Please submit a separate form for each attendee. Make checks payable to MAA.
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Name |
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Affiliation |
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Address
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Phone |
e-mail address |
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Are you an MAA member? |
Is this your 1st MAA section meeting? |
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Registration: (check type, enter fee at far right) |
Regular ($10) [__] |
Student ($5) [__] |
Guest (free) |
Fee |
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Contribution to John G. Milcetich Memorial Student Achievement Award Fund (optional) |
Amount |
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Friday night dinner (optional): Includes salad, beverage, and dessert. Check desired entree, enter $28 at far right |
Chicken Roulade with Chevre and Sundried Tomato [__] |
Vegetarian [__] |
Fee |
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Saturday lunch (optional - deli buffet): To order lunch, enter $10 (or "Free" for students) at right. |
Fee |
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Total payment enclosed (enter at far right) |
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Bonita V. Saunders Attn: MAA Meeting Registration |